Individual
MR. MATTHEW MILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
950 S PERU ST, CICERO, IN 46034-9610
(317) 984-3623
Mailing address
950 S PERU ST, CICERO, IN 46034-9610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
260166A
IN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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